NHS North West Genomics
2.2.5 - ci-build
NHS North West Genomics
2.2.5 - ci-build
NHS North West Genomics - Local Development build (v2.2.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/DiagnosticReport | Version: 2.2.5 | ||||
| Draft as of 2026-11-05 | Computable Name: DiagnosticReport | ||||
Diagnostic - Core
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  DiagnosticReport |
0..* | DiagnosticReportEuCore | Diagnostic Report EU core | |||||||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
 Slices for extension |
Content/Rules for all slices | |||||||||||
   extension:DiagnosticReportCompositionR5 |
0..1 | (Complex) | Associated Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1 | |||||||||
   extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||||||
  value[x] |
1..1 | Reference(Composition (EU core)) | Reference to a Composition resource for the DiagnosticReport structure | |||||||||
| extension:note |
0..* | (Complex) | R5: Comments about the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1 | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" | |||||||||
| extension:studyR5 |
0..* | Reference(Cross-version Profile for R5.GenomicStudy for use in FHIR R4(0.1.0) | Basic | Cross-version Profile for R5.ImagingStudy for use in FHIR R4(0.1.0) | ImagingStudy) | R5: Reference to full details of an analysis associated with the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study | |||||||||
 extension:supportingInfoR5 |
0..* | (Complex) | Additional information supporting the diagnostic report. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo | |||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| Slices for identifier |
1..* | CorrelationIdentifier | Business identifier for report Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| identifier:ReportIdentifier |
0..1 | ReportIdentifier | Identifier assigned by the lab (Order Filler)
| |||||||||
| Slices for basedOn |
0..* | CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by value:identifier.type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
 basedOn:All Slices |
Content/Rules for all slices | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:concept |
0..1 | CodeableConcept | ExtCodeableReference URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/ext-codeable-reference | |||||||||
 identifier |
1..1 | CorrelationIdentifier | Logical reference, when literal reference is not known | |||||||||
| basedOn:OrderIdentifier |
0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Identifier assigned by the placer (ORC-2)
| |||||||||
 type |
1..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: ServiceRequest (extensions allowed) | |||||||||
| identifier |
0..1 | OrderIdentifier | Logical reference, when literal reference is not known | |||||||||
| status |
1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |||||||||
| Slices for category |
0..* | CodeableConcept | Service category Slice: Unordered, Open by value:coding Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |||||||||
| category:Genetics |
0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |||||||||
| coding |
1..1 | Coding | Code defined by a terminology system Required Pattern: | |||||||||
| code |
1..1 | CodeableConcept | ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | |||||||||
 Slices for coding |
2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| coding:ProcedureCodeGenomicTestDirectory |
1..1 | Coding | Procedure code - Genomic Test Directory | |||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory (extensions allowed) | |||||||||
| coding:UKCoreReportCode |
1..1 | Coding | UKCore Report Codes Binding: ReportType (required) | |||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct (extensions allowed) | |||||||||
| subject |
1..1 | Reference(Patient) | Who and/or what this report is about | |||||||||
| identifier |
1..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||
| encounter |
0..1 | Reference(Hospital Spell | Visit) | A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19) | |||||||||
| identifier |
0..1 | CorrelationIdentifier | (HL7v2 PV1-19 Visit Number from OML_O21)
| |||||||||
| Slices for effective[x] |
0..1 | Clinically relevant time/time-period for report. Slice: Unordered, Closed by type:$this
| ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report | |||||||||
| effective[x]:effectivePeriod |
0..1 | Period | Effective period of the report | |||||||||
| Slices for performer |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| performer:All Slices |
Content/Rules for all slices | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| type |
1..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
1..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||||||
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||||||
| value |
1..1 | string | The value that is unique Example General: 123456 | |||||||||
| performer:organization |
0..* | Reference(Organization) | The organization producer of this report | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
 extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| identifier |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||
| Slices for resultsInterpreter |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| resultsInterpreter:author |
0..* | Reference(PractitionerRole) | Primary result interpreter | |||||||||
| identifier |
0..1 | PractitionerIdentifier | Logical reference, when literal reference is not known | |||||||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on. | |||||||||
| result |
0..* | Reference(Observation) | results | |||||||||
| presentedForm |
0..* | NWAttachment | Entire report as issued (pdf recommended) | |||||||||
| Documentation for this format | ||||||||||||
| Name | Order Filler | Order Placer | Automation Manager |
|---|---|---|---|
| DiagnosticReport |
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| Slices for extension |
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| Slices for identifier |
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| identifier:ReportIdentifier |
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| Slices for basedOn |
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| basedOn:OrderIdentifier |
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| Slices for category |
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| encounter |
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| identifier |
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| Slices for effective[x] |
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| Slices for performer |
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| Slices for resultsInterpreter |
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.basedOn:OrderIdentifier.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category:Genetics | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code.coding:UKCoreReportCode | Base | required | ReportType | 📦2.2.5 | This IG |
| DiagnosticReport.performer.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.performer.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from DiagnosticReportEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
DiagnosticReportEuCore | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:studyR5 |
0..* | Reference(Cross-version Profile for R5.GenomicStudy for use in FHIR R4(0.1.0) | Basic | Cross-version Profile for R5.ImagingStudy for use in FHIR R4(0.1.0) | ImagingStudy) | R5: Reference to full details of an analysis associated with the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study | |||||||||
| extension:supportingInfoR5 |
0..* | (Complex) | Additional information supporting the diagnostic report. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo | |||||||||
| Slices for identifier |
1..* | CorrelationIdentifier | Business identifier for report Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| identifier:ReportIdentifier |
0..1 | ReportIdentifier | Identifier assigned by the lab (Order Filler)
| |||||||||
| Slices for basedOn |
0..* | CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by value:identifier.type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| basedOn:All Slices |
Content/Rules for all slices | |||||||||||
| identifier |
1..1 | CorrelationIdentifier | Logical reference, when literal reference is not known | |||||||||
| basedOn:OrderIdentifier |
0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Identifier assigned by the placer (ORC-2)
| |||||||||
| type |
1..1 | uri | Type the reference refers to (e.g. "Patient") Required Pattern: ServiceRequest (extensions allowed) | |||||||||
| identifier |
0..1 | OrderIdentifier | Logical reference, when literal reference is not known | |||||||||
| Slices for category |
0..* | CodeableConcept | Service category Slice: Unordered, Open by value:coding | |||||||||
| category:Genetics |
0..1 | CodeableConcept | Service category | |||||||||
| coding |
1..1 | Coding | Code defined by a terminology system Required Pattern: | |||||||||
| code |
1..1 | CodeableConcept | ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). | |||||||||
| Slices for coding |
2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| coding:ProcedureCodeGenomicTestDirectory |
1..1 | Coding | Procedure code - Genomic Test Directory | |||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory (extensions allowed) | |||||||||
| coding:UKCoreReportCode |
1..1 | Coding | UKCore Report Codes Binding: ReportType (required) | |||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct (extensions allowed) | |||||||||
| subject |
1..1 | Reference(Patient) | Who and/or what this report is about | |||||||||
| identifier |
1..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||
| encounter |
0..1 | Reference(Hospital Spell | Visit) | A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19) | |||||||||
| identifier |
0..1 | CorrelationIdentifier | (HL7v2 PV1-19 Visit Number from OML_O21)
| |||||||||
| effective[x] |
0..1 | dateTime, Period | Clinically relevant time/time-period for report.
| |||||||||
| Slices for effective[x] |
Content/Rules for all slices | |||||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report | |||||||||
| performer |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| type |
1..1 | uri | Type the reference refers to (e.g. "Patient") | |||||||||
| identifier |
1..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| system |
1..1 | uri | The namespace for the identifier value | |||||||||
| value |
1..1 | string | The value that is unique | |||||||||
| Slices for performer |
Content/Rules for all slices | |||||||||||
| performer:organization |
0..* | Reference(Organization) | The organization producer of this report | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| identifier |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||
| resultsInterpreter |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter | |||||||||
| identifier |
||||||||||||
| system |
1..1 | uri | The namespace for the identifier value | |||||||||
| value |
1..1 | string | The value that is unique | |||||||||
| Slices for resultsInterpreter |
Content/Rules for all slices | |||||||||||
| resultsInterpreter:author |
0..* | Reference(PractitionerRole) | Primary result interpreter | |||||||||
| identifier |
0..1 | PractitionerIdentifier | Logical reference, when literal reference is not known | |||||||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on. | |||||||||
| result |
0..* | Reference(Observation) | results | |||||||||
| conclusionCode |
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| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |||||||||
| coding:GenomicTestOutcomeCode |
1..1 | Coding | Genomic Test Outcome Code Binding: Genomic Test Outcome Codes (required) | |||||||||
| presentedForm |
0..* | NWAttachment | Entire report as issued (pdf recommended) | |||||||||
| Documentation for this format | ||||||||||||
| Name | Order Filler | Order Placer | Automation Manager |
|---|---|---|---|
| DiagnosticReport |
|||
| Slices for extension |
|||
| Slices for identifier |
|||
| identifier:ReportIdentifier |
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| Slices for basedOn |
|||
| basedOn:OrderIdentifier |
|
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| Slices for category |
|||
| encounter |
|||
| identifier |
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|
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| effective[x] |
|
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| Slices for effective[x] |
|||
| Slices for performer |
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| Slices for resultsInterpreter |
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.code.coding:UKCoreReportCode | Base | required | ReportType | 📦2.2.5 | This IG |
| DiagnosticReport.conclusionCode.coding:GenomicTestOutcomeCode | Base | required | Genomic Test Outcome Codes | 📦2.2.5 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportEuCore | Diagnostic Report EU core | |||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| language |
0..1 | code | Language of the diagnostic report content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:DiagnosticReportCompositionR5 |
0..1 | (Complex) | Associated Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||||||
| value[x] |
1..1 | Reference(Composition (EU core)) | Reference to a Composition resource for the DiagnosticReport structure | |||||||||
| extension:note |
0..* | (Complex) | R5: Comments about the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" | |||||||||
| value[x] |
0..1 | Annotation | Comments about the diagnostic report | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:annotation-type |
0..* | (Complex) | The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/annotationType" | |||||||||
| value[x] |
1..1 | CodeableConcept | Type of note Binding: Hl7VSCommentType (3.0.0) (example) | |||||||||
 author[x] |
0..1 | Individual responsible for the annotation | ||||||||||
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||||||
| authorString |
string | |||||||||||
| time |
0..1 | dateTime | When the annotation was made | |||||||||
| text |
1..1 | markdown | The annotation - text content (as markdown) | |||||||||
| extension:studyR5 |
0..* | Reference(Cross-version Profile for R5.GenomicStudy for use in FHIR R4(0.1.0) | Basic | Cross-version Profile for R5.ImagingStudy for use in FHIR R4(0.1.0) | ImagingStudy) | R5: Reference to full details of an analysis associated with the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study | |||||||||
| extension:supportingInfoR5 |
0..* | (Complex) | Additional information supporting the diagnostic report. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| Slices for identifier |
1..* | CorrelationIdentifier | Business identifier for report Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| identifier:ReportIdentifier |
0..1 | ReportIdentifier | Identifier assigned by the lab (Order Filler)
| |||||||||
| Slices for basedOn |
0..* | CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by value:identifier.type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| basedOn:All Slices |
Content/Rules for all slices | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:concept |
0..1 | CodeableConcept | ExtCodeableReference URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/ext-codeable-reference | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
1..1 | CorrelationIdentifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| basedOn:OrderIdentifier |
0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Identifier assigned by the placer (ORC-2)
| |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
1..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: ServiceRequest (extensions allowed) | |||||||||
| identifier |
0..1 | OrderIdentifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| status |
1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |||||||||
| Slices for category |
0..* | CodeableConcept | Service category Slice: Unordered, Open by value:coding Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |||||||||
| category:Genetics |
0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
1..1 | Coding | Code defined by a terminology system Required Pattern: | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| code |
1..1 | CodeableConcept | ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| Slices for coding |
2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| coding:ProcedureCodeGenomicTestDirectory |
1..1 | Coding | Procedure code - Genomic Test Directory | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory (extensions allowed) | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| coding:UKCoreReportCode |
1..1 | Coding | UKCore Report Codes Binding: ReportType (required) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct (extensions allowed) | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| subject |
1..1 | Reference(Patient) | Who and/or what this report is about | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
1..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| encounter |
0..1 | Reference(Hospital Spell | Visit) | A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
0..1 | CorrelationIdentifier | (HL7v2 PV1-19 Visit Number from OML_O21)
| |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| Slices for effective[x] |
0..1 | Clinically relevant time/time-period for report. Slice: Unordered, Closed by type:$this
| ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report | |||||||||
| effective[x]:effectivePeriod |
0..1 | Period | Effective period of the report | |||||||||
| issued |
0..1 | instant | Date and time this report was issued | |||||||||
| Slices for performer |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| performer:All Slices |
Content/Rules for all slices | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
1..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
1..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||||||
| type |
0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||||||
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||||||
| value |
1..1 | string | The value that is unique Example General: 123456 | |||||||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| performer:organization |
0..* | Reference(Organization) | The organization producer of this report | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| Slices for resultsInterpreter |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| resultsInterpreter:All Slices |
Content/Rules for all slices | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||||||
| type |
0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||||||
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||||||
| value |
1..1 | string | The value that is unique Example General: 123456 | |||||||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| resultsInterpreter:author |
0..* | Reference(PractitionerRole) | Primary result interpreter | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
0..1 | PractitionerIdentifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on. | |||||||||
| result |
0..* | Reference(Observation) | results | |||||||||
| imagingStudy |
0..* | Reference(ImagingStudy) | Study subject to this report | |||||||||
| media |
0..* | BackboneElement | Additional data (like images, diagrams or documents) associated with this report | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| comment |
0..1 | string | Comment about the image or data (e.g. explanation) | |||||||||
| link |
1..1 | Reference(Media) | Reference to the image or data | |||||||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |||||||||
| coding:GenomicTestOutcomeCode |
1..1 | Coding | Genomic Test Outcome Code Binding: Genomic Test Outcome Codes (required) | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| presentedForm |
0..* | NWAttachment | Entire report as issued (pdf recommended) | |||||||||
| Documentation for this format | ||||||||||||
| Name | Order Filler | Order Placer | Automation Manager |
|---|---|---|---|
| DiagnosticReport |
|||
| Slices for extension |
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| Slices for identifier |
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| identifier:ReportIdentifier |
|
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| Slices for basedOn |
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| basedOn:OrderIdentifier |
|
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| Slices for category |
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| encounter |
|||
| identifier |
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| Slices for effective[x] |
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| Slices for performer |
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| Slices for resultsInterpreter |
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.extension:note.value[x].extension:annotation-type.value[x] | Base | example | hl7VS-commentType | 📍3.0.0 | THO v7.5 |
| DiagnosticReport.basedOn.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.basedOn:OrderIdentifier.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category:Genetics | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code.coding:UKCoreReportCode | Base | required | ReportType | 📦2.2.5 | This IG |
| DiagnosticReport.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.encounter.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.performer.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.performer.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.performer.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.performer:organization.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.resultsInterpreter.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.resultsInterpreter.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.resultsInterpreter.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.resultsInterpreter:author.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode.coding:GenomicTestOutcomeCode | Base | required | Genomic Test Outcome Codes | 📦2.2.5 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| Name | Order Filler | Order Placer | Automation Manager |
|---|---|---|---|
| DiagnosticReport |
|||
| Slices for extension |
|||
| Slices for identifier |
|||
| identifier:ReportIdentifier |
|
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| Slices for basedOn |
|||
| basedOn:OrderIdentifier |
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| Slices for category |
|||
| encounter |
|||
| identifier |
|
|
|
| Slices for effective[x] |
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| Slices for performer |
|||
| Slices for resultsInterpreter |
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| Documentation for this format | |||
This structure is derived from DiagnosticReportEuCore
Summary
Mandatory: 6 elements(11 nested mandatory elements)
Must-Support: 15 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportEuCore | Diagnostic Report EU core | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:DiagnosticReportCompositionR5 |
0..1 | (Complex) | Associated Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1 | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||||||
| value[x] |
1..1 | Reference(Composition (EU core)) | Reference to a Composition resource for the DiagnosticReport structure | |||||||||
| extension:note |
0..* | (Complex) | R5: Comments about the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1 | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" | |||||||||
| extension:studyR5 |
0..* | Reference(Cross-version Profile for R5.GenomicStudy for use in FHIR R4(0.1.0) | Basic | Cross-version Profile for R5.ImagingStudy for use in FHIR R4(0.1.0) | ImagingStudy) | R5: Reference to full details of an analysis associated with the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study | |||||||||
| extension:supportingInfoR5 |
0..* | (Complex) | Additional information supporting the diagnostic report. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| Slices for identifier |
1..* | CorrelationIdentifier | Business identifier for report Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| identifier:ReportIdentifier |
0..1 | ReportIdentifier | Identifier assigned by the lab (Order Filler)
| |||||||||
| Slices for basedOn |
0..* | CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by value:identifier.type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| basedOn:All Slices |
Content/Rules for all slices | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:concept |
0..1 | CodeableConcept | ExtCodeableReference URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/ext-codeable-reference | |||||||||
| identifier |
1..1 | CorrelationIdentifier | Logical reference, when literal reference is not known | |||||||||
| basedOn:OrderIdentifier |
0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Identifier assigned by the placer (ORC-2)
| |||||||||
| type |
1..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: ServiceRequest (extensions allowed) | |||||||||
| identifier |
0..1 | OrderIdentifier | Logical reference, when literal reference is not known | |||||||||
| status |
1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |||||||||
| Slices for category |
0..* | CodeableConcept | Service category Slice: Unordered, Open by value:coding Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |||||||||
| category:Genetics |
0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |||||||||
| coding |
1..1 | Coding | Code defined by a terminology system Required Pattern: | |||||||||
| code |
1..1 | CodeableConcept | ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | |||||||||
| Slices for coding |
2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| coding:ProcedureCodeGenomicTestDirectory |
1..1 | Coding | Procedure code - Genomic Test Directory | |||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory (extensions allowed) | |||||||||
| coding:UKCoreReportCode |
1..1 | Coding | UKCore Report Codes Binding: ReportType (required) | |||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct (extensions allowed) | |||||||||
| subject |
1..1 | Reference(Patient) | Who and/or what this report is about | |||||||||
| identifier |
1..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||
| encounter |
0..1 | Reference(Hospital Spell | Visit) | A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19) | |||||||||
| identifier |
0..1 | CorrelationIdentifier | (HL7v2 PV1-19 Visit Number from OML_O21)
| |||||||||
| Slices for effective[x] |
0..1 | Clinically relevant time/time-period for report. Slice: Unordered, Closed by type:$this
| ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report | |||||||||
| effective[x]:effectivePeriod |
0..1 | Period | Effective period of the report | |||||||||
| Slices for performer |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| performer:All Slices |
Content/Rules for all slices | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| type |
1..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
1..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||||||
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||||||
| value |
1..1 | string | The value that is unique Example General: 123456 | |||||||||
| performer:organization |
0..* | Reference(Organization) | The organization producer of this report | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| identifier |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||
| Slices for resultsInterpreter |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| resultsInterpreter:author |
0..* | Reference(PractitionerRole) | Primary result interpreter | |||||||||
| identifier |
0..1 | PractitionerIdentifier | Logical reference, when literal reference is not known | |||||||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on. | |||||||||
| result |
0..* | Reference(Observation) | results | |||||||||
| presentedForm |
0..* | NWAttachment | Entire report as issued (pdf recommended) | |||||||||
| Documentation for this format | ||||||||||||
| Name | Order Filler | Order Placer | Automation Manager |
|---|---|---|---|
| DiagnosticReport |
|||
| Slices for extension |
|||
| Slices for identifier |
|||
| identifier:ReportIdentifier |
|
|
|
| Slices for basedOn |
|||
| basedOn:OrderIdentifier |
|
|
|
| Slices for category |
|||
| encounter |
|||
| identifier |
|
|
|
| Slices for effective[x] |
|
|
|
| Slices for performer |
|||
| Slices for resultsInterpreter |
|||
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.basedOn:OrderIdentifier.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category:Genetics | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code.coding:UKCoreReportCode | Base | required | ReportType | 📦2.2.5 | This IG |
| DiagnosticReport.performer.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.performer.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
Differential View
This structure is derived from DiagnosticReportEuCore
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
DiagnosticReportEuCore | |||||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:studyR5 |
0..* | Reference(Cross-version Profile for R5.GenomicStudy for use in FHIR R4(0.1.0) | Basic | Cross-version Profile for R5.ImagingStudy for use in FHIR R4(0.1.0) | ImagingStudy) | R5: Reference to full details of an analysis associated with the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study | |||||||||
| extension:supportingInfoR5 |
0..* | (Complex) | Additional information supporting the diagnostic report. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo | |||||||||
| Slices for identifier |
1..* | CorrelationIdentifier | Business identifier for report Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| identifier:ReportIdentifier |
0..1 | ReportIdentifier | Identifier assigned by the lab (Order Filler)
| |||||||||
| Slices for basedOn |
0..* | CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by value:identifier.type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| basedOn:All Slices |
Content/Rules for all slices | |||||||||||
| identifier |
1..1 | CorrelationIdentifier | Logical reference, when literal reference is not known | |||||||||
| basedOn:OrderIdentifier |
0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Identifier assigned by the placer (ORC-2)
| |||||||||
| type |
1..1 | uri | Type the reference refers to (e.g. "Patient") Required Pattern: ServiceRequest (extensions allowed) | |||||||||
| identifier |
0..1 | OrderIdentifier | Logical reference, when literal reference is not known | |||||||||
| Slices for category |
0..* | CodeableConcept | Service category Slice: Unordered, Open by value:coding | |||||||||
| category:Genetics |
0..1 | CodeableConcept | Service category | |||||||||
| coding |
1..1 | Coding | Code defined by a terminology system Required Pattern: | |||||||||
| code |
1..1 | CodeableConcept | ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). | |||||||||
| Slices for coding |
2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| coding:ProcedureCodeGenomicTestDirectory |
1..1 | Coding | Procedure code - Genomic Test Directory | |||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory (extensions allowed) | |||||||||
| coding:UKCoreReportCode |
1..1 | Coding | UKCore Report Codes Binding: ReportType (required) | |||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct (extensions allowed) | |||||||||
| subject |
1..1 | Reference(Patient) | Who and/or what this report is about | |||||||||
| identifier |
1..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||
| encounter |
0..1 | Reference(Hospital Spell | Visit) | A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19) | |||||||||
| identifier |
0..1 | CorrelationIdentifier | (HL7v2 PV1-19 Visit Number from OML_O21)
| |||||||||
| effective[x] |
0..1 | dateTime, Period | Clinically relevant time/time-period for report.
| |||||||||
| Slices for effective[x] |
Content/Rules for all slices | |||||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report | |||||||||
| performer |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| type |
1..1 | uri | Type the reference refers to (e.g. "Patient") | |||||||||
| identifier |
1..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| system |
1..1 | uri | The namespace for the identifier value | |||||||||
| value |
1..1 | string | The value that is unique | |||||||||
| Slices for performer |
Content/Rules for all slices | |||||||||||
| performer:organization |
0..* | Reference(Organization) | The organization producer of this report | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| identifier |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||
| resultsInterpreter |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter | |||||||||
| identifier |
||||||||||||
| system |
1..1 | uri | The namespace for the identifier value | |||||||||
| value |
1..1 | string | The value that is unique | |||||||||
| Slices for resultsInterpreter |
Content/Rules for all slices | |||||||||||
| resultsInterpreter:author |
0..* | Reference(PractitionerRole) | Primary result interpreter | |||||||||
| identifier |
0..1 | PractitionerIdentifier | Logical reference, when literal reference is not known | |||||||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on. | |||||||||
| result |
0..* | Reference(Observation) | results | |||||||||
| conclusionCode |
||||||||||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |||||||||
| coding:GenomicTestOutcomeCode |
1..1 | Coding | Genomic Test Outcome Code Binding: Genomic Test Outcome Codes (required) | |||||||||
| presentedForm |
0..* | NWAttachment | Entire report as issued (pdf recommended) | |||||||||
| Documentation for this format | ||||||||||||
| Name | Order Filler | Order Placer | Automation Manager |
|---|---|---|---|
| DiagnosticReport |
|||
| Slices for extension |
|||
| Slices for identifier |
|||
| identifier:ReportIdentifier |
|
|
|
| Slices for basedOn |
|||
| basedOn:OrderIdentifier |
|
|
|
| Slices for category |
|||
| encounter |
|||
| identifier |
|
|
|
| effective[x] |
|
|
|
| Slices for effective[x] |
|||
| Slices for performer |
|||
| Slices for resultsInterpreter |
|||
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.code.coding:UKCoreReportCode | Base | required | ReportType | 📦2.2.5 | This IG |
| DiagnosticReport.conclusionCode.coding:GenomicTestOutcomeCode | Base | required | Genomic Test Outcome Codes | 📦2.2.5 | This IG |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DiagnosticReport |
0..* | DiagnosticReportEuCore | Diagnostic Report EU core | |||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| language |
0..1 | code | Language of the diagnostic report content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||
| extension:DiagnosticReportCompositionR5 |
0..1 | (Complex) | Associated Composition URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.composition" | |||||||||
| value[x] |
1..1 | Reference(Composition (EU core)) | Reference to a Composition resource for the DiagnosticReport structure | |||||||||
| extension:note |
0..* | (Complex) | R5: Comments about the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note Constraints: ext-1 | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note" | |||||||||
| value[x] |
0..1 | Annotation | Comments about the diagnostic report | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:annotation-type |
0..* | (Complex) | The type of annotation URL: http://hl7.org/fhir/StructureDefinition/annotationType | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url | ||||||||||
| url |
1..1 | uri | "http://hl7.org/fhir/StructureDefinition/annotationType" | |||||||||
| value[x] |
1..1 | CodeableConcept | Type of note Binding: Hl7VSCommentType (3.0.0) (example) | |||||||||
| author[x] |
0..1 | Individual responsible for the annotation | ||||||||||
| authorReference |
Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||||||
| authorString |
string | |||||||||||
| time |
0..1 | dateTime | When the annotation was made | |||||||||
| text |
1..1 | markdown | The annotation - text content (as markdown) | |||||||||
| extension:studyR5 |
0..* | Reference(Cross-version Profile for R5.GenomicStudy for use in FHIR R4(0.1.0) | Basic | Cross-version Profile for R5.ImagingStudy for use in FHIR R4(0.1.0) | ImagingStudy) | R5: Reference to full details of an analysis associated with the diagnostic report (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.study | |||||||||
| extension:supportingInfoR5 |
0..* | (Complex) | Additional information supporting the diagnostic report. URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.supportingInfo | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| Slices for identifier |
1..* | CorrelationIdentifier | Business identifier for report Slice: Unordered, Open by value:type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| identifier:ReportIdentifier |
0..1 | ReportIdentifier | Identifier assigned by the lab (Order Filler)
| |||||||||
| Slices for basedOn |
0..* | CodeableReference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | What was requested Slice: Unordered, Open by value:identifier.type Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| basedOn:All Slices |
Content/Rules for all slices | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:concept |
0..1 | CodeableConcept | ExtCodeableReference URL: https://fhir.nwgenomics.nhs.uk/StructureDefinition/ext-codeable-reference | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
1..1 | CorrelationIdentifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| basedOn:OrderIdentifier |
0..1 | Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Identifier assigned by the placer (ORC-2)
| |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
1..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Required Pattern: ServiceRequest (extensions allowed) | |||||||||
| identifier |
0..1 | OrderIdentifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| status |
1..1 | code | Status of the Report Binding: DiagnosticReportStatus (required): The status of the diagnostic report. | |||||||||
| Slices for category |
0..* | CodeableConcept | Service category Slice: Unordered, Open by value:coding Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |||||||||
| category:Genetics |
0..1 | CodeableConcept | Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
1..1 | Coding | Code defined by a terminology system Required Pattern: | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| code |
1..1 | CodeableConcept | ISSUE. See [National Genomic Test Directory](https://www.england.nhs.uk/wp-content/uploads/2018/08/rare-and-inherited-disease-eligibility-criteria-v2.pdf). Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| Slices for coding |
2..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| coding:ProcedureCodeGenomicTestDirectory |
1..1 | Coding | Procedure code - Genomic Test Directory | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: https://fhir.nhs.uk/CodeSystem/England-GenomicTestDirectory (extensions allowed) | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| coding:UKCoreReportCode |
1..1 | Coding | UKCore Report Codes Binding: ReportType (required) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct (extensions allowed) | |||||||||
| version |
0..1 | string | Version of the system - if relevant | |||||||||
| code |
0..1 | code | Symbol in syntax defined by the system | |||||||||
| display |
0..1 | string | Representation defined by the system | |||||||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| subject |
1..1 | Reference(Patient) | Who and/or what this report is about | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
1..1 | NHSIdentifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| encounter |
0..1 | Reference(Hospital Spell | Visit) | A reference identifier to the episode/stay/visit number in which the report was created. (HL7 v2 PV1-19) | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
0..1 | CorrelationIdentifier | (HL7v2 PV1-19 Visit Number from OML_O21)
| |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| Slices for effective[x] |
0..1 | Clinically relevant time/time-period for report. Slice: Unordered, Closed by type:$this
| ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| effective[x]:effectiveDateTime |
0..1 | dateTime | Clinically relevant time/time-period for report | |||||||||
| effective[x]:effectivePeriod |
0..1 | Period | Effective period of the report | |||||||||
| issued |
0..1 | instant | Date and time this report was issued | |||||||||
| Slices for performer |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Responsible Diagnostic Service. Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| performer:All Slices |
Content/Rules for all slices | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
1..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
1..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||||||
| type |
0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||||||
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||||||
| value |
1..1 | string | The value that is unique Example General: 123456 | |||||||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| performer:organization |
0..* | Reference(Organization) | The organization producer of this report | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| Slices for extension |
Content/Rules for all slices | |||||||||||
| extension:performerFunction |
0..1 | CodeableConcept | Type of performance URL: http://hl7.org/fhir/StructureDefinition/event-performerFunction Binding: Performer Function Codes (extensible) | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
0..1 | OrganisationCode | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| Slices for resultsInterpreter |
0..* | Reference(PractitionerRole (EU core) | Practitioner (EU core) | Organization (EU core) | CareTeam) | Primary result interpreter Slice: Unordered, Open by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| resultsInterpreter:All Slices |
Content/Rules for all slices | |||||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| use |
0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | |||||||||
| type |
0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | |||||||||
| system |
1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | |||||||||
| value |
1..1 | string | The value that is unique Example General: 123456 | |||||||||
| period |
0..1 | Period | Time period when id is/was valid for use | |||||||||
| assigner |
0..1 | Reference(Organization) | Organization that issued id (may be just text) | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| resultsInterpreter:author |
0..* | Reference(PractitionerRole) | Primary result interpreter | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| reference |
C | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||||||
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||
| identifier |
0..1 | PractitionerIdentifier | Logical reference, when literal reference is not known | |||||||||
| display |
0..1 | string | Text alternative for the resource | |||||||||
| specimen |
0..* | Reference(Specimen) | Specimens this report is based on. | |||||||||
| result |
0..* | Reference(Observation) | results | |||||||||
| imagingStudy |
0..* | Reference(ImagingStudy) | Study subject to this report | |||||||||
| media |
0..* | BackboneElement | Additional data (like images, diagrams or documents) associated with this report | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| comment |
0..1 | string | Comment about the image or data (e.g. explanation) | |||||||||
| link |
1..1 | Reference(Media) | Reference to the image or data | |||||||||
| conclusion |
0..1 | string | Clinical conclusion (interpretation) of test results | |||||||||
| conclusionCode |
0..* | CodeableConcept | Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report. | |||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |||||||||
| coding:GenomicTestOutcomeCode |
1..1 | Coding | Genomic Test Outcome Code Binding: Genomic Test Outcome Codes (required) | |||||||||
| text |
0..1 | string | Plain text representation of the concept | |||||||||
| presentedForm |
0..* | NWAttachment | Entire report as issued (pdf recommended) | |||||||||
| Documentation for this format | ||||||||||||
| Name | Order Filler | Order Placer | Automation Manager |
|---|---|---|---|
| DiagnosticReport |
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| Slices for extension |
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| Slices for identifier |
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| identifier:ReportIdentifier |
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| Slices for basedOn |
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| basedOn:OrderIdentifier |
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| Slices for category |
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| encounter |
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| identifier |
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| Slices for effective[x] |
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| Slices for performer |
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| Slices for resultsInterpreter |
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| DiagnosticReport.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.extension:note.value[x].extension:annotation-type.value[x] | Base | example | hl7VS-commentType | 📍3.0.0 | THO v7.5 |
| DiagnosticReport.basedOn.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.basedOn:OrderIdentifier.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.status | Base | required | DiagnosticReportStatus | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.category:Genetics | Base | example | Diagnostic Service Section Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code | Base | preferred | LOINC Diagnostic Report Codes | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.code.coding:UKCoreReportCode | Base | required | ReportType | 📦2.2.5 | This IG |
| DiagnosticReport.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.encounter.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.performer.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.performer.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.performer.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.performer:organization.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.resultsInterpreter.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.resultsInterpreter.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.resultsInterpreter.identifier.type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.resultsInterpreter:author.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode | Base | example | SNOMED CT Clinical Findings | 📍4.0.1 | FHIR Std. |
| DiagnosticReport.conclusionCode.coding:GenomicTestOutcomeCode | Base | required | Genomic Test Outcome Codes | 📦2.2.5 | This IG |
| Id | Grade | Path(s) | Description | Expression |
| Name | Order Filler | Order Placer | Automation Manager |
|---|---|---|---|
| DiagnosticReport |
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| Slices for extension |
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| Slices for identifier |
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| identifier:ReportIdentifier |
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| Slices for basedOn |
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| basedOn:OrderIdentifier |
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| Slices for category |
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| encounter |
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| identifier |
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| Slices for effective[x] |
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| Slices for performer |
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| Slices for resultsInterpreter |
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| Documentation for this format | |||
This structure is derived from DiagnosticReportEuCore
Summary
Mandatory: 6 elements(11 nested mandatory elements)
Must-Support: 15 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron